Postprandial hypotension in Alzheimer's disease

被引:17
作者
Idiaquez, J
Rios, L
Sandoval, E
机构
[1] UNIV VALPARAISO, SCH MED, VALPARAISO, CHILE
[2] UNIV VALPARAISO, SCH NURSING, VALPARAISO, CHILE
关键词
postprandial hypotension; Alzheimer; elderly;
D O I
10.1007/BF02308837
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The degree of postprandial hypotension in patients with Alzheimer's disease (AD) is not known. We therefore studied ten AD patients and 23 controls before and after a meal. Seven AD patients but only six controls showed a fall in blood pressure (BP) of 20 mmHg or more. Maximum BP fall in AD patients was observed between 20 and 120 min after food ingestion. This differed from the time course in other groups with primary chronic autonomic failure. Postural hypotension occurred in two controls, but not in AD patients. Abnormalities in cardiac vasomotor regulation, gut peptide liberation or both could be responsible for postprandial hypotension in AD.
引用
收藏
页码:119 / 120
页数:2
相关论文
共 14 条
[1]  
ALGOTSSON A, 1995, ACTA NEUROL SCAND, V91, P14
[2]   HEMODYNAMIC-CHANGES AFTER MEALS AND PLACEBO-TREATMENT IN CHRONIC CONGESTIVE-HEART-FAILURE [J].
CORNYN, JW ;
MASSIE, BM ;
UNVERFERTH, DV ;
LEIER, CV .
AMERICAN JOURNAL OF CARDIOLOGY, 1986, 57 (04) :238-241
[3]   PREVALENCE OF ALZHEIMERS-DISEASE IN A COMMUNITY POPULATION OF OLDER PERSONS - HIGHER THAN PREVIOUSLY REPORTED [J].
EVANS, DA ;
FUNKENSTEIN, H ;
ALBERT, MS ;
SCHERR, PA ;
COOK, NR ;
CHOWN, MJ ;
HEBERT, LE ;
HENNEKENS, CH ;
TAYLOR, JO .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1989, 262 (18) :2551-2556
[4]   CHOLINERGIC SUPERSENSITIVITY OF THE IRIS IN ALZHEIMERS-DISEASE [J].
IDIAQUEZ, J ;
ALVAREZ, G ;
VILLAGRA, R ;
SANMARTIN, RA .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1994, 57 (12) :1544-1545
[5]   POSTPRANDIAL HYPOTENSION - EPIDEMIOLOGY, PATHOPHYSIOLOGY, AND CLINICAL MANAGEMENT [J].
JANSEN, RWMM ;
LIPSITZ, LA .
ANNALS OF INTERNAL MEDICINE, 1995, 122 (04) :286-295
[6]   BLOOD-PRESSURE REDUCTION AFTER ORAL GLUCOSE LOADING AND ITS RELATION TO AGE, BLOOD-PRESSURE AND INSULIN [J].
JANSEN, RWMM ;
PENTERMAN, BJM ;
VANLIER, HJJ ;
HOEFNAGELS, WHL .
AMERICAN JOURNAL OF CARDIOLOGY, 1987, 60 (13) :1087-1091
[7]  
Mathias C J., 1993, Autonomic failure: a textbook of clinical disorders of the autonomic nervous system, P489
[8]   THE INFLUENCE OF FOOD ON POSTURAL HYPOTENSION IN 3 GROUPS WITH CHRONIC AUTONOMIC FAILURE - CLINICAL AND THERAPEUTIC IMPLICATIONS [J].
MATHIAS, CJ ;
HOLLY, E ;
ARMSTRONG, E ;
SHAREEF, M ;
BANNISTER, R .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1991, 54 (08) :726-730
[9]  
MCKHANN G, 1984, NEUROLOGY, V34, P939, DOI 10.1212/WNL.34.7.939
[10]  
Novak P, 1994, Clin Auton Res, V4, P141, DOI 10.1007/BF01845779